Bill To / Card
Holder Information (Must match exactly)
*Required
Fields
Company*
_____________________________________________________________
First Name* _______________________ Last Name* _________________________
Address* _____________________________________________________________
Address _____________________________________________________________
City* ____________________________ State* _________________________
Postal Code* ___________________________ Country* _______________________
Phone #* ____________________________ Fax # __________________________
E-Mail*
_____________________________________________________________
Activation code(s) will be sent to this email address.
Method of Payment
(Check one)
____ Credit Card ____ Visa ____
Mastercard ____ Amex ____ Discover
Card # _______________________________________ Exp __________
____ Check or Money Order enclosed and payable in US funds
____ Government or educational institution purchase order attached
Order Details
Single CPU license ________ X $795.00 US ...... $
___________
Florida residents Please add 7% sales tax ....... $ ___________
Total ........................................... $ ___________
Prices are subject to change without notice.